Individual
DR. ALAN KEVIN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8089 MADISON AVE, SUITE #2, CITRUS HEIGHTS, CA 95610-7964
(916) 966-1473
Mailing address
8089 MADISON AVE, SUITE #2, CITRUS HEIGHTS, CA 95610-7964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100876
CA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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